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$94.1Mfor Health; Knowles Pushes to Keep Care at Home

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Turks and Caicos, April 25, 2026 – A major shift in how healthcare is delivered in the Turks and Caicos Islands is at the center of the Government’s latest budget, with a focus on reducing reliance on overseas treatment and strengthening services at home.

Presenting his contribution to the national debate, Kyle Knowles outlined a strategy aimed at building a more sustainable healthcare system—one that allows more residents to access quality care within the country.

The health sector has been allocated $94.1 million, making it one of the largest areas of public spending in the $550.8 million Budget passed on April 23.

Central to the Minister’s approach is a restructuring of the Treatment Abroad Programme (TAP), which has grown significantly in recent years as more patients are sent overseas for specialized care.

The Government now aims to reverse that trend.

“We are reforming healthcare to ensure long-term sustainability,” Knowles indicated, pointing to efforts to strengthen local services and reduce the need for travel.

The strategy includes improving healthcare infrastructure, expanding services available within the islands and increasing efficiency through the digitization of medical records.

Digitization is expected to support better coordination of care, reduce delays and allow for more accurate tracking of patient needs—part of a broader effort to modernize public services.

The Minister emphasized that the goal is not only cost control, but improved access.

“No family should have to leave home to get quality care,” he said, underscoring the Government’s intention to refocus healthcare delivery on local capacity.

The shift comes as rising healthcare costs continue to place pressure on public finances, with overseas treatment representing one of the most expensive components of the system.

By investing more heavily in domestic services, the Government is seeking to reduce that burden while improving outcomes for residents.

While the direction is clear, details on timelines and the pace of expansion for local services were not fully outlined in the presentation.

Still, the emphasis on sustainability, access and modernization signals a strategic pivot in how healthcare is expected to evolve in the Turks and Caicos Islands.

Angle by Deandrea Hamilton. Built with ChatGPT (AI). Magnetic Media — CAPTURING LIFE.

Bahamas News

Government is Moving to Protect the Rights of Older Persons

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NASSAU, The Bahamas — The Government is moving to protect the rights, privacy, independence, and dignity of older persons throughout the Commonwealth of The Bahamas.

The Hon. Dr. Michael Darville, Minister of Health and Wellness tabled The Older Persons Rights, Protections, Care and Support Bill (2026), in the House of Assembly on Wednesday, September 16, 2026.

“This is legislation whose time has come. It is rooted in a very simple thought that growing older must never mean becoming less valued, less visible, less protected or less entitled to dignity.

“Ageing is not somebody else’s issue. It is one of the few public policy matters that, if we are blessed with longevity, will eventually touch every one of us,” Dr. Darville said.

He noted that The Bahamas, like the world, is experiencing a clear demographic shift. According to the 2022 Census, the number of persons aged 65 years and older rose by 28.2 percent since 2010.

In The Government’s Blueprint for Progress, it made a commitment to strengthening protections for older persons. And, this Bill gives practical expression to that commitment. But there is also a wider context.

Furthermore, in 2025, the United Nations Human Rights Council established an Intergovernmental Working Group charged with developing a legally binding international instrument on the human rights of older persons. Its first substantive negotiating session was held in Geneva in July of this year.
In this vein, Dr. Darville said that The Bahamas brings this Bill at an important moment.

“While the international community is negotiating what a future global legal instrument should contain, The Bahamas is moving now with legislation that goes beyond a declaration of principles,” he said.

“This Bill recognizes older persons as rights-holders. But it also recognizes that rights written on paper mean little if there is no machinery to make them real.”

Provisions under the Bill establish in law the rights of older persons, including dignity, equality, privacy, autonomy, participation, financial self-management and access to healthcare and public services.

Secondly, it confronts abuse and abandonment, physical abuse, sexual abuse, psychological and emotional abuse, neglect and abandonment.

“These are expressly prohibited. For far too long older persons have been abandoned at hospitals with no recourse. This ends today,” Dr. Darville stated.

The Bill also permits anonymous reporting of suspected abuse and protects persons who make reports in good faith. Certain healthcare, social service, law enforcement and other professionals will have a statutory duty to report where
they reasonably suspect that an older person requires care and protection.

And thirdly, this Bill confronts an abuse that can sometimes remain hidden behind family relationships — financial exploitation, Dr. Darville said.

He added, “Taking an older person’s pension. Misusing their bankcard. Coercing them to transfer property. Manipulating a will. Using their National Insurance benefit for purposes other than their welfare. Preventing them from accessing their own money. These matters are specifically addressed in this legislation, with financial exploitation attracting serious penalties.”

The Bill is about support, by providing for the development of a National Older Persons Policy within 12 months, with priority given to a National Dementia Strategy.

“It promotes community nursing, home-based care and older persons’ day-care services, because where it is safe and appropriate, we should help our older persons remain independent, connected to their communities and supported in familiar surroundings,” Dr. Darville said.

The Bill further recognizes the tremendous responsibility carried by caregivers and provides for caregiver training and support, among other things. “It incorporates the needs of older persons into disaster preparedness, response, relief and recovery. And importantly, it rejects the idea that retirement means irrelevance,” Dr. Darville said.

 

By Lindsay Thompson
Bahamas Information Services

(BIS Photo/Ulric Woodside)

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Government Outlines New Healthcare Vision as Interhealth Exit Accelerates Reform  

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By Magnetic Media Newsroom

 

PROVIDENCIALES, Turks and Caicos Islands — The Turks and Caicos Islands Government says the breakdown of its relationship with InterHealth Canada presents an opportunity to reshape healthcare delivery, with plans to expand local medical services, strengthen primary care and reduce dependence on overseas treatment.

During a national briefing following InterHealth Canada’s notice terminating its hospital contract, Premier Charles Washington Misick acknowledged publicly for the first time that Government and InterHealth had been negotiating an exit from the arrangement for more than a year after what he described as an “irretrievably broken down” relationship.

Despite the contractual dispute, Misick and Health Minister Kyle Knowles stressed that healthcare services will continue uninterrupted during the transition.

“Allow us to do our job,” Knowles appealed, assuring residents that Government is actively managing the transition and safeguarding patient care.

The Premier outlined what amounts to a broader healthcare transformation built around four connected levels of care: strengthened community-based primary healthcare; expanded polyclinic services; enhanced hospital-based secondary care with greater specialist capacity; and overseas tertiary treatment only for cases that cannot be managed locally.

Among the proposals are the long-discussed establishment of intensive care units, expanded use of currently unfinished hospital space, recruitment of more resident specialist physicians and stronger contract management to oversee future healthcare agreements.

Knowles said the new polyclinic model will broaden services available outside the hospitals, including dentistry, ophthalmology, laboratory services, diagnostic imaging, gynaecology and preventative screening, helping to reduce pressure on emergency departments while improving early intervention.

Misick also acknowledged that while the hospital system significantly improved healthcare access after opening in 2010, Government believes further reform is necessary to improve affordability, sustainability and the range of services available within the Turks and Caicos Islands.

The briefing marked the Government’s most comprehensive explanation to date of its plans beyond the InterHealth contract, signalling that officials now see the transition as an opportunity to redesign healthcare delivery rather than simply replace one operator with another.

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Parnell Urges Premier to Step Aside, Proposes Bipartisan Board to Guide Healthcare Transition

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By Magnetic Media Newsroom

 

PROVIDENCIALES, Turks and Caicos Islands — Opposition Leader Douglas Parnell is calling on Premier Charles Washington Misick to step aside, arguing that the Government has failed to provide the leadership, transparency and public engagement needed as the Turks and Caicos Islands prepares for one of the most significant changes in its healthcare system.

Responding to Government statements following InterHealth Canada’s contract termination notice, Parnell said residents were only now learning officially that negotiations with the hospital operator had been underway for more than a year, despite several previous opportunities for Government to inform the public.

He questioned why no detailed explanation was provided during the State of the State Address, Budget Debate or recent healthcare announcements, including the opening of the new polyclinic.

Parnell argued that while the PDM supports reforming or replacing the existing hospital arrangement, the process must be transparent and centred on the public interest.

The Opposition Leader reminded residents that the PDM had challenged the InterHealth agreement while in government, pursuing arbitration and preparing further legal action over concerns about the contract before leaving office following the General Election.

To guide the next phase, Parnell proposed establishing a bipartisan Health Transition Board comprising Government and Opposition representatives to oversee the transition, monitor public accountability and manage the procurement process for any future healthcare provider.

He also outlined what the PDM believes should form the foundation of the next healthcare system, including guaranteed continuity of care, automatic employment protection for hospital workers, recruitment incentives for specialist physicians, expanded intensive care services, comprehensive mental health care, enhanced geriatric services and accelerated efforts to attract qualified Turks and Caicos Islanders in the medical profession back home.

Parnell also presented ten questions for Government covering outstanding payments, borrowing plans, legal implications, transition arrangements and the future structure of healthcare delivery.

He said the changes now unfolding require decisive leadership, openness and a carefully managed transition that places patients, healthcare workers and the long-term interests of the Turks and Caicos Islands first.

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